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TEXAS VASCULAR ASSOCIATES NPI 1194718429


NPI Information

NPI: 1194718429
Provider Name: TEXAS VASCULAR ASSOCIATES
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
621 N. HALL ST.
SUITE 100
DALLAS, TX
ZIP 75226
Phone: (214) 821-9600
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TEXAS VASCULAR ASSOCIATES is a vascular surgery surgery in Dallas, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. TEXAS VASCULAR ASSOCIATES NPI is 1194718429. The provider is registered as an organization entity type.

The provider's business location address is:

621 N. HALL ST.
SUITE 100
DALLAS, TX
ZIP 75226-339
Phone: (214) 821-9600
Fax: (214) 823-5449

The provider's authorized official is Gregory J Pearl .
The authorized official title is Vascular Surgeon and has the following contact phone number (214) 821-9600.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 5/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierTEXASNo
22086S0129XSurgeryVascular SurgeryTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100372RMEDICARE PINTEXAS
2143448201MEDICAIDTEXAS
34424430002MEDICARE NSCTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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